Introduction to the Special Issue on Psychotherapy, the Affordable Care Act, and Mental Health Parity: Obstacles to Implementation

doi:10.1521/pdps.2014.42.3.339

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…The following principle was formed: The structure of therapy (set session length, regularity, payment) increased clients' security and confidence in the process generally but was enhanced by flexibility in the length of initial sessions to establish a relationship, flexible payment plans when possible, and professional relationships that did not undercut warmth and authentic care. It will be of interest to see how changes in models of insurance and care delivery influence these factors as therapy becomes more accessible and integrates into primary care (Friedman, 2014).…”

Section: The Role Of Authentic Care and Structure In The Therapist-cl...mentioning

confidence: 99%

A qualitative meta-analysis examining clients’ experiences of psychotherapy: A new agenda.

Levitt

Pomerville

Surace

2016

Psychological Bulletin

199

208

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This article argues that psychotherapy practitioners and researchers should be informed by the substantive body of qualitative evidence that has been gathered to represent clients' own experiences of therapy. The current meta-analysis examined qualitative research studies analyzing clients' experiences within adult individual psychotherapy that appeared in English-language journals. This omnibus review integrates research from across psychotherapy approaches and qualitative methods, focusing on the cross-cutting question of how clients experience therapy. It utilized an innovative method in which 67 studies were subjected to a grounded theory meta-analysis in order to develop a hierarchy of data and then 42 additional studies were added into this hierarchy using a content meta-analytic method-summing to 109 studies in total. Findings highlight the critical psychotherapy experiences for clients, based upon robust findings across these research studies. Process-focused principles for practice are generated that can enrich therapists' understanding of their clients in key clinical decision-making moments. Based upon these findings, an agenda is suggested in which research is directed toward heightening therapists' understanding of clients and recognizing them as agents of change within sessions, supporting the client as self-healer paradigm. This research aims to improve therapists' sensitivity to clients' experiences and thus can expand therapists' attunement and intentionality in shaping interventions in accordance with whichever theoretical orientation is in use. The article advocates for the full integration of the qualitative literature in psychotherapy research in which variables are conceptualized in reference to an understanding of clients' experiences in sessions. (PsycINFO Database Record

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Section: The Role Of Authentic Care and Structure In The Therapist-cl...mentioning

confidence: 99%

A qualitative meta-analysis examining clients’ experiences of psychotherapy: A new agenda.

Levitt

Pomerville

Surace

2016

Psychological Bulletin

199

208

View full text Add to dashboard Cite

show abstract

“…Questions about the quality and effectiveness of clinical care have become paramount in many Western countries as the cost of health care continues to soar (Friedman, 2014;Ham, 1998;Kennedy, 2014;Levav & Lachman, 2005;Levy et al, 2014). Public health clinics are urged to evaluate and improve their treatment services as well as implement briefer and more targeted evidence-based practice interventions (Levy et al, 2014).…”

mentioning

confidence: 99%

Practice-based psychotherapy research in a public health setting: Obstacles and opportunities.

DeFife

Drill

Beinashowitz

et al. 2015

Journal of Psychotherapy Integration

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Mental health care providers have been charged with the task of generating more evidence to support the quality and efficiency of their treatment practices. Health care policies are beginning to enforce the implementation of prescriptive treatment protocols with demonstrated efficacy for specific conditions. Psychotherapy treatment models designed for and evaluated in rigorously controlled experimental settings are frequently considered the hallmark of evidence-based practice. Experimental trials of psychotherapy brands have identified efficacious treatments for a number of specific conditions. However, the current experimental procedures for evaluating a specific treatment model may not be enough to account for the range of patients and challenges found in community practice settings. Clinicians express reservations that many research investigations do not address their most important concerns. Thus, clinical researchers are charged with the task of implementing research protocols of greater clinical utility. Public health practice settings offer numerous opportunities for joining clinical research and practice. However, implementing programmatic psychotherapy research in clinical practice settings presents a number of obstacles. In this article, a case example of implementing a research protocol in a public health safety-net hospital is the lens through which these obstacles are identified and possible solutions investigated. Experience gaps, financial constraints, design flaws, organizational culture, and clinician resistance are barriers to the implementation of practice-based psychotherapy research. With motivated efforts and creative problem solving, these barriers can be removed, opening an avenue for the advancement of practice-informed research and researchinformed practice.

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Inter-Agency Strategies Used by State Mental Health Agencies to Assist with Federal Behavioral Health Parity Implementation

Purtle

Borchers

Clement

et al. 2017

J Behav Health Serv Res

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State mental health agencies have potential to enhance implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA), particularly through collaborations with state insurance agencies. Little research, however, has examined state agencies’ MHPAEA implementation strategies. The study purpose was to describe the trend in collaboration between state mental health agencies and other state agencies to assist with MHPAEA implementation between 2010–2015 and characterize implementation strategies used. A content analysis of information in the State Mental Health Profiling System was conducted. In 2010, 54.9% of state mental health agencies anticipated involvement with MHPAEA implementation through collaborations with other state agencies, but only 23.5% were involved in 2012 and 11.8% were in 2015. Ongoing consultation (58.5%) and local technical assistance (14.6%) were the implementation strategies most frequently used. State mental health agency involvement with MHPAEA implementation though inter-agency collaboration has been limited. Future research should examine factors that influence such collaborations.

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Introduction to the Special Issue on Psychotherapy, the Affordable Care Act, and Mental Health Parity: Obstacles to Implementation

Cited by 6 publications

References 10 publications

A qualitative meta-analysis examining clients’ experiences of psychotherapy: A new agenda.

A qualitative meta-analysis examining clients’ experiences of psychotherapy: A new agenda.

Practice-based psychotherapy research in a public health setting: Obstacles and opportunities.

Inter-Agency Strategies Used by State Mental Health Agencies to Assist with Federal Behavioral Health Parity Implementation

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